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Differences in Perceptions of Patient Safety Culture between Charge and Noncharge Nurses: Implications for Effectiveness Outcomes Research

By Deleise Wilson, Richard W. Redman, AkkeNeel Talsma and Michelle Aebersold


The implementation of evidence-based practice guidelines can be influenced by nurses' perceptions of the organizational safety culture. Shift-by-shift management of each nursing unit is designated to a subset of staff nurses (charge nurses), whom are often recruited as champions for change. The findings indicate that compared to charge nurses, noncharge nurses were more positive about overall perceptions of safety (P = .05) and teamwork (P < .05). Among charge nurses, significant differences were observed based on the number of years' experience in charge: perception of teamwork within units [F(3, 365) = 3.52, P < .01]; overall perceptions of safety, [F(3, 365) = 4.20, P < .05]; safety grade for work area [F(3, 360) = 2.61, P < .05]; number of events reported within the last month [F(3, 362) = 3.49, P < .05]. These findings provide important insights to organizational contextual factors that may impact effectiveness outcomes research in the future

Topics: Research Article
Publisher: Hindawi Publishing Corporation
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    1. (2003). A qualitative study of charge nurse competencies,”
    2. (2011). an evidence-based, multidisciplinary process for implementation of potentially better practices using a computerized medical record,”
    3. (2008). and G.Laekeman,“Opposingexpectationsandsuboptimaluseofa local antibiotic hospital guideline: a qualitative study,”
    4. (2006). Best practices in perinatal nursing: professionalroledevelopmentforchargenurses,”JournalofPerinatal and
    5. (2003). Charge nurse leadership development and evaluation,”
    6. (2007). Clinical risk management and patient safety education for nurses: a critique,”
    7. (2010). Comparative effectiveness research: policy context, methods development and research infrastructure,”
    8. (2009). Critical thinking ability of new graduate and experienced nurses,”
    9. (2003). Differences in safety climate between hospital personnel and naval aviators,”
    10. (1998). Differentiated levels of nursing work force demand,”
    11. (2006). Documentation of medication management by graduate nurses in patient progressnotes:awayforwardforpatientsafety,”Collegian,vol.
    12. (2008). Effectiveness of a falls-and-fracture nurse coordinator to reduce falls: a randomized, controlled trial of at-risk older adults,”
    13. (2006). Evidence-based implementation of evidencebased guidelines,”
    14. (2008). Factors influencing the adoption of an innovation: an examination of the uptake of the Canadian Heart Health Kit
    15. (2010). Fidelity ofimplementation: development andtesting of a measure,”
    16. (2003). H o w a r d ,a n dK .C .P a r k ,“ T h ec u l t u r eo fs a f e t y :r e s u l t so fa n organization-wide survey
    17. (2007). H u a n g ,G .C l e r m o n t ,J .B .S e x t o ne ta l . ,“ P e r c e p t i o n so f safety culture vary across the intensive care units of a single institution,”CriticalCareMedicine,vol.35,no.1,pp.165–176,
    18. (2004). Hospital Survey on Patient Safety Culture, Agency Health for Healthcare Research and Quality,
    19. (2003). i c a r t ,C .L o r e n t e ,E .D i a z ,M .H .K o l l e f ,a n dJ .R e l l o , “Nursing adherence with evidence-based guidelines for preventing ventilator-associated pneumonia,”
    20. (2007). i m ,K .A n ,M .K .K i m ,a n dS .H .Y o o n ,“ N u r s e s ’p e r c e p t i o n oferrorreportingandpatientsafetycultureinKorea,”
    21. (2010). Implementing Clinical Practice Guidelines in occupational therapy practice: recommendations from the research evidence,”
    22. (2005). Implementing research findings into practice using clinical opinion leaders: barriers and lessons learned,”
    23. (2006). Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program,”
    24. (2011). Intraoperative fluid management guided by oesophageal
    25. (2006). J.B.Sexton,C.G.Holzmueller,P.J.Pronovostetal.,“Variation in caregiver perceptions of teamwork climate in labor and delivery units,”
    26. (2004). Keeping Patients Safe: Transforming the Work Environment of Nurses,
    27. (2004). Lessons learned in implementing SCI clinical practice guidelines,”
    28. (2011). Local opinion leaders: effects on professional practice and health outcomes (Review),” in The Cochrane Collaboration,J o h nW i l e y&S o n s ,
    29. (2000). Mail and Internet Surveys: The Tailored Design Method,
    30. (2011). Mindfulness: a qualitative description of the behaviors charge nurses enact to safely staff patient care units,”
    31. (2007). Missing Data: A Gentle Introduction (Methodology in the Social Sciences),
    32. (2010). Moving comparative effectiveness research into practice: implementation science and the role of academic medicine,”
    33. (2001). Moving to evidencebased practice for pain management in the critical care setting,”
    34. (2009). Patient safety climate in 92 us hospitals differences by work area and discipline,”
    35. (2007). Predicting research use in nursing organizations: a multilevel analysis,”
    36. (2011). R i c h ,A .C .B o n h a m ,a n dD .G .K i r c h ,“ T h ei m p l i c a t i o n s of comparative effectiveness research for academic medicine,”
    37. (2006). Ritchie,“Takingaimatfallinjuryadverseevents:bestpractices and organizational change,”
    38. (2008). S o r r a ,T .F a m o l a r o ,N .D y e r ,D .N e l s o n ,a n dK .K h a n n a , Hospital Survey on Patient Safety Culture
    39. (2007). T a n g
    40. (2010). The application of high-reliability theory to promote pain management,”
    41. (2006). The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement,” J o u r n a lo fN u r s i n g Administration,
    42. (2010). The relationship between characteristicsofcontextandresearchutilizationinapediatric setting,”
    43. (2010). The role of nursing best practice champions in diffusing practice guidelines: a mixed methods study,”
    44. (2008). Transitioning from Novice to Competent: What Can We Learn From the Literature About Graduate Nurses in the Emergency Setting?”
    45. (2010). Translation science and context,” Research and Theory for Nursing Practice,
    46. (2008). Variability among emergency charge nurses in the efficiency of patient bed assignment
    47. (2007). Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey,”

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